Care Coach Connect Registered Nurse Field Based Plano, TX
Company: Optum
Location: Euless
Posted on: March 4, 2025
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Job Description:
WellMed, part of the Optum family of businesses, is seeking a
Care Coach Connect RN Case Manager to join our team in Plano, TX.
Optum is a clinician-led care organization that is changing the way
clinicians work and live.
As a member of the Optum Care Delivery team, you'll be an integral
part of our vision to make healthcare better for everyone.
At Optum, you'll have the clinical resources, data and support of a
global organization behind you so you can help your patients live
healthier lives. Here, you'll work alongside talented peers in a
collaborative environment that is guided by diversity and inclusion
while driving towards the Quadruple Aim. We believe you deserve an
exceptional career, and will empower you to live your best life at
work and at home. Experience the fulfillment of advancing the
health of your community with the excitement of contributing new
practice ideas and initiatives that could help improve care for
millions of patients across the country. Because together, we have
the power to make health care better for everyone. Join us and
discover how rewarding medicine can be while Caring. Connecting.
Growing together.
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The Care Coach Connect RN/Case Manager coordinates care and
provides initial ongoing nursing assessment of the patient and
family needs and coordination of the patient's plan of care with
interdisciplinary team members and the Care Coach Connect
supervising clinician.
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The CCC RN Case Manager is responsible for performing 80% home
visits and 20% telephonic case management.
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Primary Responsibilities: -
Conducts medical home visits on established Care Coach Connect
patients performing a hands on exam at each visit
Conducts urgent/acute visits on established Care Coach Connect
patients with the goal of keeping the patient out of the hospital
in order to receive the best medical care at home
Provides ongoing assessments of the impact of life-limiting and/or
chronic illness(es) on the patient's physical, functional,
psychosocial and environmental needs
Assess for caregiver burnout, and provide community resources when
appropriate
Implement the individualized plan of care and recommend revisions
to the plan as necessary
Ability to perform procedures, to include, but not limited to: a.
Wound care and dressing change b. Phlebotomy c. injection (B12,
vaccines)
Ability to conduct an advanced care discussion with a patient and
their family and properly document their wishes in the electronic
medical record. Consults and educates the patient/family and other
caregivers regarding the disease process, pain and symptom
management, end of life care and processes for -dealing with issues
of ethical concern
Initiates appropriate preventive and rehabilitative nursing
procedures when appropriate
Ensure continual assessment of patient and family needs from
admission to Care Coach Connect throughout the course of care
Provides ongoing evaluation of the patient and family/caregiver
response to care, and recommends alteration of the plan when
necessary. 12. Attends the interdisciplinary meeting and is a
crucial and vocal member of the team
Solves problems by gathering and/or reviewing facts and selecting
the best solution from identified alternatives. Decision making is
usually based on prior practice or policy, with some
interpretation. Applies individual reasoning to the solution of a
problem devising or modifying processes and writing procedures
Conducts telephonic nursing follow up and case management when
necessary
Serves as a resource or consultant for LVN/MA
Attends educational offerings to keep abreast of chronic medical
conditions and complies with licensing requirements
Establishes a trusting relationship with identified patients,
caregivers, clinic staff members and Providers
Collaborates with the providers to recommend policies, procedures
and standards which affect the care of the Care Coach Connect
Patient
Exhibits professionalism and is courteous with all patients,
physicians and co-workers
Informs the provider of patient's needs and outcomes of
interventions as per standards
Follows Care Coach Connect providers' orders regarding the scope
and frequency of services needed based on acuity and patient/family
needs
Coordinates all patient/family services and prioritization of needs
with the members of the interdisciplinary team
Documents in the electronic health record progress toward
established goals as per standards
Uses the case management approach and refers to other services as
needed
Maintains a patient case load, daily visits and point of care
documentation levels as per standards
Performs all other related nursing duties as assigned
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In 2011, WellMed partnered with Optum to provide care to patients
across Texas and Florida. WellMed is a network of doctors,
specialists and other medical professionals that specialize in
providing care for more than 1 million older adults with over
16,000 doctors' offices. At WellMed our focus is simple. We're
innovators in preventative health care, striving to change the face
of health care for seniors. WellMed has more than 22,000+ primary
care physicians, hospitalists, specialists, and advanced practice
clinicians who excel in caring for 900,000+ older adults. Together,
we're making health care work better for everyone.
You'll be rewarded and recognized for your performance in an
environment that will challenge you and give you clear direction on
what it takes to succeed in your role as well as provide
development for other roles you may be interested in.Required
Qualifications:
Registered Nurse with a current license to practice in the state of
employment
Current BLS certification or must obtain certification within 30
days of employment hire date
3+ years of experience in a physician's office, clinical, hospice
or hospital setting
Demonstrate experience of excellent nursing skills
Proficient computer skills, including Microsoft Word, Excel, Access
and Outlook -
Demonstrate ability to interact productively with individuals and
with multidisciplinary teams
Have reliable transportation for daily travel to various locations
as assigned, up to 80% of the time
Valid driver's license within the state of work
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Preferred Qualifications:
Hospice and Palliative Care Nursing certification
2+ years of hospice experience
Experience with home visits
Experience related to advanced care planning and discussions with
patients regarding end-of-life wishes
Experience with community-based nursing
Knowledge of palliative and hospice medicine
Bilingual (English/Spanish) language proficiency
Proven excellent verbal and written skills
Proven excellent organizational and prioritization skills
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Physical & Mental Requirements: -
Ability to lift up to 100 pounds Ability to push or pull heavy
objects using up to pounds of force -
Ability to sit for extended periods of time -
Ability to stand for extended periods of time -
Ability to use fine motor skills to operate office equipment and/or
machinery Ability to properly drive and operate a company vehicle
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Ability to receive and comprehend instructions verbally and/or in
writing Ability to use logical reasoning for simple and complex
problem solving
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The salary range for this role is $59,500 to $116,600 annually
based on full-time employment. Pay is based on several factors
including but not limited to local labor markets, education, work
experience, certifications, etc. UnitedHealth Group complies with
all minimum wage laws as applicable. In addition to your salary,
UnitedHealth Group offers benefits such as, a comprehensive
benefits package, incentive and recognition programs, equity stock
purchase and 401k contribution (all benefits are subject to
eligibility requirements). No matter where or when you begin a
career with UnitedHealth Group, you'll find a far-reaching choice
of benefits and incentives.
Diversity creates a healthier atmosphere: OptumCare is an Equal
Employment Opportunity/Affirmative Action employers and all
qualified applicants will receive consideration for employment
without regard to race, color, religion, sex, age, national origin,
protected veteran status, disability status, sexual orientation,
gender identity or expression, marital status, genetic information,
or any other characteristic protected by law.
OptumCare is a drug-free workplace. Candidates are required to pass
a drug test before beginning employment.
Keywords: Optum, Euless , Care Coach Connect Registered Nurse Field Based Plano, TX, Healthcare , Euless, Texas
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